Provider Demographics
NPI:1376361311
Name:THE BODY THEORY, PLLC
Entity type:Organization
Organization Name:THE BODY THEORY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDRIA
Authorized Official - Middle Name:R
Authorized Official - Last Name:SCHICKNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:214-592-7808
Mailing Address - Street 1:13701 WOODWAY DR STE 615
Mailing Address - Street 2:
Mailing Address - City:WOODWAY
Mailing Address - State:TX
Mailing Address - Zip Code:76712-3146
Mailing Address - Country:US
Mailing Address - Phone:254-733-0777
Mailing Address - Fax:
Practice Address - Street 1:13701 WOODWAY DR STE 615
Practice Address - Street 2:
Practice Address - City:WOODWAY
Practice Address - State:TX
Practice Address - Zip Code:76712-3146
Practice Address - Country:US
Practice Address - Phone:254-733-0777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty